| Bangor Healthcare | |
|
109 State St Bangor ME 04401-5149 | |
| (207) 992-2395 | |
| (207) 992-2398 |
| Full Name | Bangor Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 109 State St, Bangor, Maine |
| Authorized Official Name and Position | Patr Ann Small (PHYSICIAN) |
| Authorized Official Contact | 2079922395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bangor Healthcare 109 State St Bangor ME 04401-5149 Ph: (207) 992-2395 | Bangor Healthcare 109 State St Bangor ME 04401-5149 Ph: (207) 992-2395 |
| NPI Number | 1871804542 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871804542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1608 (Maine) | Primary |
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